Divine Dermatology Pllc

LBN: Divine Dermatology Pllc
Divine Dermatology Pllc is an health care organization with primary practice located at 2100 Dr Martin Luther King Jr St N , St Petersburg FL 33704-3264. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Divine Dermatology Pllc can be contacted via phone (727) 528-0321, or through Sims-Robertson, Carol Jeanne via phone (727) 528-0321.

Contact Information

Primary practice address
2100 Dr Martin Luther King Jr St N St Petersburg FL 33704-3264
Phone: (727) 528-0321
Fax: (727) 498-8832
Website:
Map and Directions
Authorized official contact:
Name: Sims-Robertson, Carol Jeanne Doctor of Medicine (MD)
Phone: (727) 528-0321

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME87149 Florida

Profile Details

NPI number 1508976010
LBN Legal business name Divine Dermatology Pllc
DBA Doing business as
Authorized official Sims-Robertson, Carol Jeanne Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Oct 16th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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